The brain is an important organ in controlling various systems of the body, whether it is the speech system, language use, thought processes, decision-making, or various movements of the body, all of which come from our brain’s commands. Our brain consists of over 100 billion nerve cells and receives oxygen and nutrients from the blood to nourish it. But as soon as the brain lacks blood, it will result in brain cells being destroyed and gradually dying. This will cause symptoms that we are familiar with in the name of cerebrovascular disease (stroke).
Stroke is an acute disease that has no warning symptoms. Found in people of all genders and ages. It is found more often in the elderly than in children. Stroke is caused by aging, Group of diseases at risk (cardiac arrhythmia, arrhythmia, diabetes, high blood pressure, high fat), obesity, and smoking. It is a factor that causes disease more easily. When the brain is made up of millions of cells connected together to form large branches, an abnormality occurs in the blood transport route. This makes the blood unable to nourish the brain in that area. As a result, the brain slows down and eventually stops functioning. Every minute, there is a lack of blood flow to the brain. More than 1.9 million brain cells, or 114 million cells, will die in 1 hour, equivalent to 3.4 years of accelerated dementia without any warning signs. Notify the owner of the body in advance because an ischemic stroke will have acute symptoms. If you arrive at the hospital more than 270 minutes late, it may be the source of complete “paralysis.”
Ischemic stroke is an acute disease. The patient will have a speech abnormality, be unable to speak words, and answer questions incorrectly. Have blurred vision Half-limbs become weak or stagger if the brain is left without blood flow for a long time. Brain cells will become more and more destroyed and die. Ultimately, the patient may become paralyzed. Paralyzed at a later time Therefore, when a patient has symptoms of a stroke, they should be rushed to the hospital for treatment as soon as possible. in order to give medicine to break up blood clots (in the case that the patient has a stroke) to open the blood vessels to allow blood to return to the brain normally. Make the brain work normally again as soon as possible. The Mobile Acute Paralysis Treatment Unit (Mobile Stroke Unit, or Stroke Ambulance Vehicle) is a special emergency vehicle developed and designed especially for stroke patients. which has been open for service since November 23, 2015, is the first vehicle in Asia. Inside the vehicle are medical tools and equipment. Ready to diagnose the patient’s condition to classify stroke types immediately on board the MSU vehicle, it is considered a special emergency vehicle that increases the chance of treatment for patients who often have to waste time traveling for no reason (Call 1772, press 7).
Computed Tomography Scan (CT Scan) is a brain computerized tomography machine to classify types of cerebrovascular disease, such as cerebral ischemia or bleeding in the brain. Including the size and location of the damaged brain tissue. This is the most important step. The faster you can do it; it greatly reduces the risk of paralysis.
Check blood results with a mobile laboratory installed in the vehicle. To measure cholesterol levels in the blood sugar as well as concentration Blood cell function and blood clotting.
Before sending all examination results through the telemedicine system to the neurologist team at Phyathai 1 Hospital to assess symptoms, analyze, and classify patient symptoms, including Cerebral ischemia (ischemic stroke) occurs when the doctor examines the body via telemedicine based on brain computerized tomography results and it was clearly diagnosed that the patient had symptoms of cerebral ischemia. The doctor will inform the emergency medicine team on board to give the patient a blood clot-dissolving injection (RT-PA) immediately because it needs to be given within 270 minutes, 4.5 hours, or sooner. So that blood can return to the brain as quickly as possible. Phyathai 1 Hospital can provide blood clot-dissolving medicine within 29 minutes. Cerebral Hemorrhage, or Hemorrhagic Stroke, when the doctor evaluates the computerized tomography image of the brain and finds that the patient has a brain hemorrhage. The doctor will tell the patient about medicine to stop bleeding. This may help reduce the chance of brain surgery. In cases of heavy bleeding The patient required urgent surgery. To remove blood that has accumulated in the brain There will be a neurosurgery team coordinator in the hospital to prepare the operating room for continued treatment as soon as the patient arrives at the hospital.
As soon as the incident is notified (call 1772, press 7), the process of preparing to treat stroke patients will begin. The Mobile Stroke Unit or Stroke Ambulance vehicle will leave the hospital to pick up the patient. At the same time, the team of neurologists stationed in the hospital will prepare both equipment and a multidisciplinary team to support the continuous treatment of stroke patients as well as the preparation of the Acute Stroke Unit, which is a recovery room specifically for stroke patients. In the case that the patient has already received blood clot-dissolving drugs but is still unable to open the blood vessel (the blood clot is not completely dissolved), The doctor will use a method to pull the blood clot through a catheter (clot retrieval) to open the blood vessel so that it can return to the brain normally. The blood clot extraction will be done by a doctor who is an expert in blood clot removal procedures. of Phyathai 1 Hospital, which has more than 10 years of experience in treating patients with this technique. The treatment process for stroke patients was designed based on the treatment of stroke patients in the United States.
Imagine that every day you wake up, you can only sit or lie down and look at the same things. From someone who used to be able to move normally to the status of a bedridden patient. These are not far-fetched assumptions. Because almost half of patients with cerebrovascular disease don’t realize that they are at risk, some people don’t have any chronic diseases. Good lipid and liver values were detected. Have a little blood pressure. It may not always be a guarantee that you will survive a stroke. Continuous, thorough health checks Always follow up on blood pressure results. Try to control your health within standard limits. It will help reduce your chances and remove yourself from the risk group for stroke.
Although the structure of the brain is designed to have bones for protection against external impact forces, for a stroke, the strongest defense may mean a new lifestyle change. Create good health every day. The important thing is to exercise regularly and have a physical health check every year.
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